Characterization of Acute and Chronic Hepatitis B Virus Genotypes in Canada

The prevalence and distribution of hepatitis B virus (HBV) genotypes in Canada is not known. Genotypic analysis may contribute to a better understanding of HBV strain distribution and transmission risk. HBV surface antigen (HBsAg) positive samples of acute (n = 152) and chronic (n = 1533) HBV submit...

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Veröffentlicht in:PloS one 2015-09, Vol.10 (9), p.e0136074-e0136074
Hauptverfasser: Osiowy, Carla, Giles, Elizabeth, Trubnikov, Max, Choudhri, Yogesh, Andonov, Anton
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creator Osiowy, Carla
Giles, Elizabeth
Trubnikov, Max
Choudhri, Yogesh
Andonov, Anton
description The prevalence and distribution of hepatitis B virus (HBV) genotypes in Canada is not known. Genotypic analysis may contribute to a better understanding of HBV strain distribution and transmission risk. HBV surface antigen (HBsAg) positive samples of acute (n = 152) and chronic (n = 1533) HBV submitted for strain analysis or reference genotype testing between 2006 and 2012 were analyzed. The HBsAg coding region was amplified to determine the HBV genotype by INNO-LiPA assay or sequence analysis. Single and multivariate analyses were used to describe genotypes' associations with known demographic and behavioral risk factors for 126 linked cases of acute HBV. Nine genotypes were detected (A to I), including mixed infections. Genotype C (HBV/C) dominated within chronic infections while HBV/D and A prevailed among acute HBV cases. History of incarceration and residing with a chronic HBV carrier or injection drug user were the most frequently reported risks for acute HBV infection. Over time, HBV/A increased among both acute and chronic infections, and HBV/C and HBV/D decreased among chronic infections. Chronic and acute HBV genotypes in Canada differ in the relative distribution and their associations with known risk factors, suggesting different routes of transmission and clinical progression of infection.
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Genotypic analysis may contribute to a better understanding of HBV strain distribution and transmission risk. HBV surface antigen (HBsAg) positive samples of acute (n = 152) and chronic (n = 1533) HBV submitted for strain analysis or reference genotype testing between 2006 and 2012 were analyzed. The HBsAg coding region was amplified to determine the HBV genotype by INNO-LiPA assay or sequence analysis. Single and multivariate analyses were used to describe genotypes' associations with known demographic and behavioral risk factors for 126 linked cases of acute HBV. Nine genotypes were detected (A to I), including mixed infections. Genotype C (HBV/C) dominated within chronic infections while HBV/D and A prevailed among acute HBV cases. History of incarceration and residing with a chronic HBV carrier or injection drug user were the most frequently reported risks for acute HBV infection. 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Chronic and acute HBV genotypes in Canada differ in the relative distribution and their associations with known risk factors, suggesting different routes of transmission and clinical progression of infection.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0136074</identifier><identifier>PMID: 26406309</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acute Disease ; Antigens ; Canada - epidemiology ; Chronic illnesses ; Chronic infection ; Consent ; Demographics ; Disease control ; Epidemiology ; Female ; Genotype ; Genotype &amp; phenotype ; Genotypes ; Health risk assessment ; Health risks ; Health surveillance ; Hepatitis ; Hepatitis B ; Hepatitis B surface antigen ; Hepatitis B Surface Antigens - genetics ; Hepatitis B virus - genetics ; Hepatitis B, Chronic - epidemiology ; Hepatitis B, Chronic - genetics ; Hepatitis B, Chronic - prevention &amp; control ; Hepatology ; Humans ; Immunization ; Infections ; Laboratories ; Male ; Mutation ; Public health ; Risk analysis ; Risk factors ; Risk taking ; Strain analysis ; Strain distribution ; Vaccination ; Viruses</subject><ispartof>PloS one, 2015-09, Vol.10 (9), p.e0136074-e0136074</ispartof><rights>2015 Osiowy et al. 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Genotypic analysis may contribute to a better understanding of HBV strain distribution and transmission risk. HBV surface antigen (HBsAg) positive samples of acute (n = 152) and chronic (n = 1533) HBV submitted for strain analysis or reference genotype testing between 2006 and 2012 were analyzed. The HBsAg coding region was amplified to determine the HBV genotype by INNO-LiPA assay or sequence analysis. Single and multivariate analyses were used to describe genotypes' associations with known demographic and behavioral risk factors for 126 linked cases of acute HBV. Nine genotypes were detected (A to I), including mixed infections. Genotype C (HBV/C) dominated within chronic infections while HBV/D and A prevailed among acute HBV cases. History of incarceration and residing with a chronic HBV carrier or injection drug user were the most frequently reported risks for acute HBV infection. Over time, HBV/A increased among both acute and chronic infections, and HBV/C and HBV/D decreased among chronic infections. Chronic and acute HBV genotypes in Canada differ in the relative distribution and their associations with known risk factors, suggesting different routes of transmission and clinical progression of infection.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26406309</pmid><doi>10.1371/journal.pone.0136074</doi><oa>free_for_read</oa></addata></record>
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subjects Acute Disease
Antigens
Canada - epidemiology
Chronic illnesses
Chronic infection
Consent
Demographics
Disease control
Epidemiology
Female
Genotype
Genotype & phenotype
Genotypes
Health risk assessment
Health risks
Health surveillance
Hepatitis
Hepatitis B
Hepatitis B surface antigen
Hepatitis B Surface Antigens - genetics
Hepatitis B virus - genetics
Hepatitis B, Chronic - epidemiology
Hepatitis B, Chronic - genetics
Hepatitis B, Chronic - prevention & control
Hepatology
Humans
Immunization
Infections
Laboratories
Male
Mutation
Public health
Risk analysis
Risk factors
Risk taking
Strain analysis
Strain distribution
Vaccination
Viruses
title Characterization of Acute and Chronic Hepatitis B Virus Genotypes in Canada
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